Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.10 / $472.69 / $1,145.30	Professional		$414.10	$472.69	$1,145.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $505.79 / $630.00	Professional		$505.79	$505.79	$630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $791.44	Facility		$330.00	$339.05	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $615.02 / $1,065.18	Professional		$422.30	$615.02	$1,065.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.84 / $649.95 / $853.52	Professional		$503.84	$649.95	$853.52
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.68 / $496.81 / $967.93	Professional		$358.68	$496.81	$967.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.30 / $579.41 / $711.75	Professional		$425.30	$579.41	$711.75